{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:00:22Z","timestamp":1791226822643,"version":"4.1.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004837","name":"Spanish Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"crossref","award":["MCIN\/AEI\/10.13039\/501100011033"],"award-info":[{"award-number":["MCIN\/AEI\/10.13039\/501100011033"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004837","name":"Spanish Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"crossref","award":["PID2019-110895RB-I00"],"award-info":[{"award-number":["PID2019-110895RB-I00"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004837","name":"Spanish Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"crossref","award":["SBPLY\/21\/180501\/000145"],"award-info":[{"award-number":["SBPLY\/21\/180501\/000145"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Radiation necrosis (RN) is a frequent adverse event after fractionated stereotactic radiotherapy (FSRT) or single-session stereotactic radiosurgery (SRS) treatment of brain metastases (BMs). It is difficult to distinguish RN from progressive disease (PD) due to their similarities in the magnetic resonance images. Previous theoretical studies have hypothesized that RN could have faster, although transient, growth dynamics after FSRT\/SRS, but no study has proven that hypothesis using patient data. Thus, we hypothesized that lesion size time dynamics obtained from growth laws fitted with data from sequential volumetric measurements on magnetic resonance images may help in discriminating recurrent BMs from RN events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 101 BMs from different institutions, growing after FSRT\/SRS (60 PDs and 41 RNs) in 86 patients, displaying growth for at least 3 consecutive MRI follow-ups were selected for the study from a database of 1031 BMs. The 3 parameters of the Von Bertalanffy growth law were determined for each BM and used to discriminate statistically PDs from RNs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Growth exponents in patients with RNs were found to be substantially larger than those of PD, due to the faster, although transient, dynamics of inflammatory processes. Statistically significant differences (P\u2005&amp;lt;\u2005.001) were found between both groups. The receiver operating characteristic curve (AUC\u2005=\u20050.76) supported the ability of the growth law exponent to classify the events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Growth law exponents obtained from sequential longitudinal magnetic resonance images after FSRT\/SRS can be used as a complementary tool in the differential diagnosis between RN and PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/noajnl\/vdac179","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T10:41:20Z","timestamp":1670496080000},"source":"Crossref","is-referenced-by-count":11,"title":["Growth dynamics of brain metastases differentiate radiation necrosis from recurrence"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8931-3836","authenticated-orcid":false,"given":"Beatriz","family":"Oca\u00f1a-Tienda","sequence":"first","affiliation":[{"name":"Mathematical Oncology Laboratory, University of Castilla-La Mancha , Ciudad Real , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0317-6215","authenticated-orcid":false,"given":"Juli\u00e1n","family":"P\u00e9rez-Beteta","sequence":"additional","affiliation":[{"name":"Mathematical Oncology Laboratory, University of Castilla-La Mancha , Ciudad Real , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6104-3894","authenticated-orcid":false,"given":"David","family":"Molina-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Mathematical Oncology Laboratory, University of Castilla-La Mancha , Ciudad Real , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1299-5079","authenticated-orcid":false,"given":"Beatriz","family":"Asenjo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Regional Universitario Carlos Haya , M\u00e1laga , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3567-7041","authenticated-orcid":false,"given":"Ana","family":"Ortiz\u00a0de\u00a0Mendivil","sequence":"additional","affiliation":[{"name":"Department of Radiology, Sanchinarro University Hospital, HM Hospitales , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4496-6849","authenticated-orcid":false,"given":"David","family":"Albillo","sequence":"additional","affiliation":[{"name":"Radiology Unit, MD Anderson Cancer Center , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8117-5459","authenticated-orcid":false,"given":"Lu\u00eds\u00a0A","family":"P\u00e9rez-Romasanta","sequence":"additional","affiliation":[{"name":"Radiation Oncology Service, Salamanca University Hospital , Salamanca , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Gonz\u00e1lez\u00a0del\u00a0Portillo","sequence":"additional","affiliation":[{"name":"Radiation Oncology Service, Salamanca University Hospital , Salamanca , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Llorente","sequence":"additional","affiliation":[{"name":"Radiology Unit, MD Anderson Cancer Center , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Carballo","sequence":"additional","affiliation":[{"name":"Radiology Unit, MD Anderson Cancer Center , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1884-7854","authenticated-orcid":false,"given":"Estanislao","family":"Arana","sequence":"additional","affiliation":[{"name":"Department of Radiology, Fundaci\u00f3n Instituto Valenciano de Oncolog\u00eda , Valencia , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6575-495X","authenticated-orcid":false,"given":"V\u00edctor\u00a0M","family":"P\u00e9rez-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Mathematical Oncology Laboratory, University of Castilla-La Mancha , Ciudad Real , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"issue":"1","key":"2023013105334460100_CIT0001","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1038\/s41572-018-0055-y","article-title":"Brain 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